<%@ Page Language="vb" AutoEventWireup="false" Codebehind="ShippingForm.aspx.vb" Inherits="MIMS_WRS.Web.ShippingForm"%>
<!DOCTYPE HTML PUBLIC "-//W3C//DTD HTML 4.0 Transitional//EN">
<HTML>
	<HEAD>
		<title>ShippingForm</title>
		<meta content="Microsoft Visual Studio .NET 7.1" name="GENERATOR">
		<meta content="Visual Basic .NET 7.1" name="CODE_LANGUAGE">
		<meta content="JavaScript" name="vs_defaultClientScript">
		<meta content="http://schemas.microsoft.com/intellisense/ie5" name="vs_targetSchema">
		<LINK href="../Offices/detail.css" type="text/css" rel="stylesheet" name="Default stylesheet">
		<LINK href="../Offices/common.css" type="text/css" rel="stylesheet" name="Default stylesheet">
		<script language="javascript" src="../js/common.js"></script>
		<LINK href="../startpage.css" type="text/css" rel="stylesheet">
		<script language="javascript" src="../js/common.js"></script>
		<style>.tooltipheader { BORDER-RIGHT: #c4d5e3 1px solid; PADDING-RIGHT: 5px; BORDER-TOP: #c4d5e3 1px solid; PADDING-LEFT: 5px; FONT-WEIGHT: bold; FONT-SIZE: 11px; BACKGROUND: #c4d5e3; FILTER: alpha(opacity=85); PADDING-BOTTOM: 5px; BORDER-LEFT: #c4d5e3 1px solid; WIDTH: 400px; PADDING-TOP: 5px; BORDER-BOTTOM: #c4d5e3 1px solid; FONT-FAMILY: tahoma, arial; opacity: 0.85; -moz-opacity: 0.85 }
	.tooltipbody { BORDER-RIGHT: #c4d5e3 1px solid; PADDING-RIGHT: 8px; PADDING-LEFT: 8px; FONT-SIZE: 11px; BACKGROUND: #fff; FILTER: alpha(opacity=85); PADDING-BOTTOM: 8px; BORDER-LEFT: #c4d5e3 1px solid; WIDTH: 400px; PADDING-TOP: 8px; BORDER-BOTTOM: #c4d5e3 1px solid; FONT-FAMILY: tahoma, arial; opacity: 0.85; -moz-opacity: 0.85 }
	.tooltiph1 { FONT-WEIGHT: bold; TEXT-DECORATION: underline }
	DIV#subHeader { PADDING-RIGHT: 3px; PADDING-LEFT: 3px; FONT-SIZE: 8pt; PADDING-BOTTOM: 3px; COLOR: white; PADDING-TOP: 3px; FONT-FAMILY: Tahoma, Arial, verdana; HEIGHT: 2%; BACKGROUND-COLOR: #64a2de }
	DIV#header { VERTICAL-ALIGN: top; HEIGHT: 5%; BACKGROUND-COLOR: #eeeeee }
	DIV#header H1 { PADDING-RIGHT: 0px; PADDING-LEFT: 0px; FONT-SIZE: 1.4em; FLOAT: left; PADDING-BOTTOM: 0px; MARGIN: 0px; COLOR: blue; PADDING-TOP: 0px }
	DIV#header #navigation { CLEAR: left; PADDING-RIGHT: 0.3em; FLOAT: right; VERTICAL-ALIGN: top }
	#tblList { TABLE-LAYOUT: fixed; FONT-SIZE: 0.9em; WIDTH: 100%; FONT-FAMILY: verdana, Arial, tahoma, sans-serif; BORDER-COLLAPSE: collapse; BACKGROUND-COLOR: whitesmoke }
	#tblList TH { FONT-WEIGHT: bold; FONT-SIZE: 11px; BORDER-LEFT: #222 1px solid; COLOR: #3a4f6c; BORDER-BOTTOM: #222 1px solid; FONT-FAMILY: verdana, Arial, tahoma, sans-serif; WHITE-SPACE: nowrap; POSITION: relative; BACKGROUND-COLOR: #cfd9e7; TEXT-ALIGN: center }
	#tblList TH.Locked { FONT-WEIGHT: bold; FONT-SIZE: 11px; BORDER-LEFT: #222 1px solid; COLOR: #3a4f6c; BORDER-BOTTOM: #222 1px solid; FONT-FAMILY: verdana, Arial, tahoma, sans-serif; WHITE-SPACE: nowrap; POSITION: relative; BACKGROUND-COLOR: #cfd9e7; TEXT-ALIGN: center }
	#tblList TD { BORDER-TOP: #ccc 1px solid; FONT-SIZE: 11px; BORDER-LEFT: #ccc 1px solid; CURSOR: hand; FONT-FAMILY: Verdana, Arial, Helvetica, sans-serif; WHITE-SPACE: nowrap }
	#tblList .tableRowHighlight { COLOR: #fff; BACKGROUND-COLOR: #00f }
	#tblList .tableRowSelected { COLOR: yellow; BACKGROUND-COLOR: #9b9b1c }
	#tblList TD.SelectedRowIndicated { BACKGROUND-COLOR: #ffffcc! important }
	#tblList THEAD TH { Z-INDEX: 20; ; TOP: expression(document.getElementById("divOuter").scrollTop) }
	#tblList THEAD TH.locked { Z-INDEX: 30 }
	#tblList TD.locked { BORDER-RIGHT: silver 1px solid; FONT-WEIGHT: bold; Z-INDEX: 10; ; LEFT: expression(document.getElementById("divOuter").scrollLeft); POSITION: relative; BACKGROUND-COLOR: #ffeaff }
	TH.locked { BORDER-RIGHT: silver 1px solid; FONT-WEIGHT: bold; Z-INDEX: 10; ; LEFT: expression(document.getElementById("divOuter").scrollLeft); POSITION: relative; BACKGROUND-COLOR: #ffeaff }
		</style>
		<script language="javascript" type="text/javascript">
			function ValidateEmail()
			{	
				var email = document.getElementById('txtEmailAddr');
				var filter = /^([a-zA-Z0-9_\.\-])+\@(([a-zA-Z0-9\-])+\.)+([a-zA-Z0-9]{2,4})+$/;
				if (!filter.test(email.value)) {
					alert('Please provide a valid email address.');
					email.focus();
					return false;
				}
				return true;
			}
			
			function ValidateEmailAndConfirmEmail()
			{
				var email = document.getElementById('txtEmailAddr');
				var confirmEmail = document.getElementById('txtConfirmEmailAddr');
				
				if(email.value != confirmEmail.value && confirmEmail.value != ""){
					alert('Confirm E-mail does not match with E-Mail. Please input it again.');
					return false;
				}
				else
					return true;
			}
			
			function ShowConfirm()
			{
				return confirm('WARNING if you proceed to cancel you will lose your IDS selection. Do you want to cancel it?');
			}
			
			function EmailAddrLostForcus1()
			{
				/*var emailAddrValue = document.getElementById('<%=txtEmailAddr.ClientID%>').innerHTML;
				var bEdit = document.getElementById('<%=txtEmailAddr.ClientID%>').isTextEdit;
				if(emailAddrValue.length == 0 && bEdit == true)
					document.getElementById('<%=RequiredFieldValidator4.ClientID%>').innerText = "";
				else if(emailAddrValue.length == 0)
					document.getElementById('<%=RequiredFieldValidator4.ClientID%>').innerText = "Please enter E-Mail.";
					*/
			} 
			function EmailAddrLostForcus2()
			{
			/*
				var bEdit = document.getElementById('<%=txtConfirmEmailAddr.ClientID%>').isTextEdit;
				var confirmEmailAddrValue = document.getElementById('<%=txtConfirmEmailAddr.ClientID%>').innerText;
				if(confirmEmailAddrValue.length == 0 && bEdit == true)
					document.getElementById('<%=RequiredFieldValidator5.ClientID%>').innerText = "";
				else if(confirmEmailAddrValue.length == 0)
					document.getElementById('<%=RequiredFieldValidator5.ClientID%>').innerText = "Please enter Confirm E-Mail.";
					*/
			}
		</script>
	</HEAD>
	<body scroll="no">
		<div id="outerDiv">
			<div id="header">
				<h1 style="PADDING-LEFT:110px">Customer Details</h1>
				<div id="navigation"><A href="ShoppingCartList.aspx">View Shopping Cart</A>&nbsp;|&nbsp;<A href="../Logon.aspx?logout=1">Log 
						out</A></div>
			</div>
			<div id="content" style="WIDTH: 1050px; HEIGHT: 85%">
				<form id="Form1" method="post" runat="server">
					<p></p>
					<asp:label id="lblMessage" runat="server" EnableViewState="False"></asp:label>
					<table class="FormTable" cellPadding="2" width="100%">
						<tr>
							<td class="LabelLeft"><span class="Required">*</span>Company Name</td>
						</tr>
						<tr>
							<td><asp:textbox id="txtCompanyName" Runat="server" Width="448px"></asp:textbox>&nbsp;<asp:requiredfieldvalidator id="Requiredfieldvalidator7" runat="server" ControlToValidate="txtCompanyName" ErrorMessage="Please enter Company Name."
									Display="Dynamic"></asp:requiredfieldvalidator></td>
						</tr>
						<tr>
							<td>
								<table cellPadding="2" class="FormTable" border="0">
									<tr>
										<td class="LabelLeft">Title</td>
										<td class="LabelLeft" align="left"><span class="Required">*</span>Family Name</td>
										<td class="LabelLeft" align="left">Given Name</td>
									</tr>
									<tr>
										<td align="left"><asp:dropdownlist id="cboTitle" Runat="server" Width="80px">
												<asp:ListItem>Mr</asp:ListItem>
												<asp:ListItem>Mrs</asp:ListItem>
												<asp:ListItem>Ms</asp:ListItem>
											</asp:dropdownlist>
										</td>
										<td align="left">
											<asp:textbox Width="168px" id="txtFamilyName" Runat="server"></asp:textbox>&nbsp;<asp:requiredfieldvalidator id="Requiredfieldvalidator8" runat="server" ControlToValidate="txtFamilyName" ErrorMessage="Please enter Family Name."
												Display="Dynamic"></asp:requiredfieldvalidator>
										</td>
										<td align="left">
											<asp:textbox Width="178px" id="txtGivenName" Runat="server"></asp:textbox>
										</td>
									</tr>
								</table>
							</td>
						</tr>
						<tr>
							<td class="LabelLeft">Street Address</td>
						</tr>
						<tr>
							<td><asp:textbox id="txtStreetAddress" Runat="server" Width="448px"></asp:textbox></td>
						</tr>
						<tr>
							<td class="LabelLeft"><span class="Required">*</span>City</td>
						</tr>
						<tr>
							<td><asp:textbox id="txtCity" Runat="server" Width="448px"></asp:textbox>&nbsp;<asp:requiredfieldvalidator id="RequiredFieldValidator3" runat="server" Width="112px" ControlToValidate="txtCity"
									ErrorMessage="Please enter City." Display="Dynamic"></asp:requiredfieldvalidator></td>
						</tr>
						<tr>
							<td class="LabelLeft">State/Province/Region</td>
						</tr>
						<tr>
							<td><asp:textbox id="txtState" Runat="server" Width="448px"></asp:textbox></td>
						</tr>
						<tr>
							<td class="LabelLeft"><span class="Required">*</span>ZIP/Postal Code</td>
						</tr>
						<tr>
							<td><asp:textbox id="txtPostalCode" Runat="server" Width="448px"></asp:textbox>&nbsp;<asp:requiredfieldvalidator id="Requiredfieldvalidator9" runat="server" ControlToValidate="txtPostalCode" ErrorMessage="Please enter ZIP/Postal Code."
									Display="Dynamic"></asp:requiredfieldvalidator></td>
						</tr>
						<tr>
							<td class="LabelLeft"><span class="Required">*</span>Country</td>
						</tr>
						<tr>
							<td><asp:dropdownlist id="ddlCountry" Runat="server" Width="448px">
									<asp:ListItem></asp:ListItem>
									<asp:ListItem>United Kingdom</asp:ListItem>
									<asp:ListItem>United States</asp:ListItem>
									<asp:ListItem>Spain</asp:ListItem>
									<asp:ListItem>Afghanistan</asp:ListItem>
									<asp:ListItem>Albania</asp:ListItem>
									<asp:ListItem>Algeria</asp:ListItem>
									<asp:ListItem>American Samoa</asp:ListItem>
									<asp:ListItem>Andorra</asp:ListItem>
									<asp:ListItem>Anguilla</asp:ListItem>
									<asp:ListItem>Antarctica</asp:ListItem>
									<asp:ListItem>Antigua And Barbuda</asp:ListItem>
									<asp:ListItem>Argentina</asp:ListItem>
									<asp:ListItem>Armenia</asp:ListItem>
									<asp:ListItem>Aruba</asp:ListItem>
									<asp:ListItem>Australia</asp:ListItem>
									<asp:ListItem>Austria</asp:ListItem>
									<asp:ListItem>Azerbaijan</asp:ListItem>
									<asp:ListItem>Bahamas</asp:ListItem>
									<asp:ListItem>Bahrain</asp:ListItem>
									<asp:ListItem>Bangladesh</asp:ListItem>
									<asp:ListItem>Barbados</asp:ListItem>
									<asp:ListItem>Belarus</asp:ListItem>
									<asp:ListItem>Belgium</asp:ListItem>
									<asp:ListItem>Belize</asp:ListItem>
									<asp:ListItem>Benin</asp:ListItem>
									<asp:ListItem>Bermuda</asp:ListItem>
									<asp:ListItem>Bhutan</asp:ListItem>
									<asp:ListItem>Bolivia</asp:ListItem>
									<asp:ListItem>Bosnia and Herzegovina</asp:ListItem>
									<asp:ListItem>Botswana</asp:ListItem>
									<asp:ListItem>Bouvet Island</asp:ListItem>
									<asp:ListItem>Brazil</asp:ListItem>
									<asp:ListItem>British Indian Ocean Territory</asp:ListItem>
									<asp:ListItem>Brunei Darussalam</asp:ListItem>
									<asp:ListItem>Bulgaria</asp:ListItem>
									<asp:ListItem>Burkina Faso</asp:ListItem>
									<asp:ListItem>Burundi</asp:ListItem>
									<asp:ListItem>Cambodia</asp:ListItem>
									<asp:ListItem>Cameroon</asp:ListItem>
									<asp:ListItem>Canada</asp:ListItem>
									<asp:ListItem>Cape Verde</asp:ListItem>
									<asp:ListItem>Cayman Islands</asp:ListItem>
									<asp:ListItem>Central African Republic</asp:ListItem>
									<asp:ListItem>Chad</asp:ListItem>
									<asp:ListItem>Chile</asp:ListItem>
									<asp:ListItem>China</asp:ListItem>
									<asp:ListItem>Christmas Island</asp:ListItem>
									<asp:ListItem>Cocos (Keeling) Islands</asp:ListItem>
									<asp:ListItem>Colombia</asp:ListItem>
									<asp:ListItem>Comoros</asp:ListItem>
									<asp:ListItem>Congo</asp:ListItem>
									<asp:ListItem>Congo, the Democratic Republic of the</asp:ListItem>
									<asp:ListItem>Cook Islands</asp:ListItem>
									<asp:ListItem>Costa Rica</asp:ListItem>
									<asp:ListItem>Cote d'Ivoire</asp:ListItem>
									<asp:ListItem>Croatia</asp:ListItem>
									<asp:ListItem>Cyprus</asp:ListItem>
									<asp:ListItem>Czech Republic</asp:ListItem>
									<asp:ListItem>Denmark</asp:ListItem>
									<asp:ListItem>Djibouti</asp:ListItem>
									<asp:ListItem>Dominica</asp:ListItem>
									<asp:ListItem>Dominican Republic</asp:ListItem>
									<asp:ListItem>East Timor</asp:ListItem>
									<asp:ListItem>Ecuador</asp:ListItem>
									<asp:ListItem>Egypt</asp:ListItem>
									<asp:ListItem>El Salvador</asp:ListItem>
									<asp:ListItem>England</asp:ListItem>
									<asp:ListItem>Equatorial Guinea</asp:ListItem>
									<asp:ListItem>Eritrea</asp:ListItem>
									<asp:ListItem>Espana</asp:ListItem>
									<asp:ListItem>Estonia</asp:ListItem>
									<asp:ListItem>Ethiopia</asp:ListItem>
									<asp:ListItem>Falkland Islands</asp:ListItem>
									<asp:ListItem>Faroe Islands</asp:ListItem>
									<asp:ListItem>Fiji</asp:ListItem>
									<asp:ListItem>Finland</asp:ListItem>
									<asp:ListItem>France</asp:ListItem>
									<asp:ListItem>French Guiana</asp:ListItem>
									<asp:ListItem>French Polynesia</asp:ListItem>
									<asp:ListItem>French Southern Territories</asp:ListItem>
									<asp:ListItem>Gabon</asp:ListItem>
									<asp:ListItem>Gambia</asp:ListItem>
									<asp:ListItem>Georgia</asp:ListItem>
									<asp:ListItem>Germany</asp:ListItem>
									<asp:ListItem>Ghana</asp:ListItem>
									<asp:ListItem>Gibraltar</asp:ListItem>
									<asp:ListItem>Great Britain</asp:ListItem>
									<asp:ListItem>Greece</asp:ListItem>
									<asp:ListItem>Greenland</asp:ListItem>
									<asp:ListItem>Grenada</asp:ListItem>
									<asp:ListItem>Guadeloupe</asp:ListItem>
									<asp:ListItem>Guam</asp:ListItem>
									<asp:ListItem>Guatemala</asp:ListItem>
									<asp:ListItem>Guinea</asp:ListItem>
									<asp:ListItem>Guinea-Bissau</asp:ListItem>
									<asp:ListItem>Guyana</asp:ListItem>
									<asp:ListItem>Haiti</asp:ListItem>
									<asp:ListItem>Heard and Mc Donald Islands</asp:ListItem>
									<asp:ListItem>Honduras</asp:ListItem>
									<asp:ListItem>Hong Kong</asp:ListItem>
									<asp:ListItem>Hungary</asp:ListItem>
									<asp:ListItem>Iceland</asp:ListItem>
									<asp:ListItem>India</asp:ListItem>
									<asp:ListItem>Indonesia</asp:ListItem>
									<asp:ListItem>Ireland</asp:ListItem>
									<asp:ListItem>Israel</asp:ListItem>
									<asp:ListItem>Italy</asp:ListItem>
									<asp:ListItem>Jamaica</asp:ListItem>
									<asp:ListItem>Japan</asp:ListItem>
									<asp:ListItem>Jordan</asp:ListItem>
									<asp:ListItem>Kazakhstan</asp:ListItem>
									<asp:ListItem>Kenya</asp:ListItem>
									<asp:ListItem>Kiribati</asp:ListItem>
									<asp:ListItem>Korea, Republic of</asp:ListItem>
									<asp:ListItem>Korea (South)</asp:ListItem>
									<asp:ListItem>Kuwait</asp:ListItem>
									<asp:ListItem>Kyrgyzstan</asp:ListItem>
									<asp:ListItem>Lao People's Democratic Republic</asp:ListItem>
									<asp:ListItem>Latvia</asp:ListItem>
									<asp:ListItem>Lebanon</asp:ListItem>
									<asp:ListItem>Lesotho</asp:ListItem>
									<asp:ListItem>Liberia</asp:ListItem>
									<asp:ListItem>Libya</asp:ListItem>
									<asp:ListItem>Liechtenstein</asp:ListItem>
									<asp:ListItem>Lithuania</asp:ListItem>
									<asp:ListItem>Luxembourg</asp:ListItem>
									<asp:ListItem>Macau</asp:ListItem>
									<asp:ListItem>Macedonia</asp:ListItem>
									<asp:ListItem>Madagascar</asp:ListItem>
									<asp:ListItem>Malawi</asp:ListItem>
									<asp:ListItem>Malaysia</asp:ListItem>
									<asp:ListItem>Maldives</asp:ListItem>
									<asp:ListItem>Mali</asp:ListItem>
									<asp:ListItem>Malta</asp:ListItem>
									<asp:ListItem>Marshall Islands</asp:ListItem>
									<asp:ListItem>Martinique</asp:ListItem>
									<asp:ListItem>Mauritania</asp:ListItem>
									<asp:ListItem>Mauritius</asp:ListItem>
									<asp:ListItem>Mayotte</asp:ListItem>
									<asp:ListItem>Mexico</asp:ListItem>
									<asp:ListItem>Micronesia, Federated States of</asp:ListItem>
									<asp:ListItem>Moldova, Republic of</asp:ListItem>
									<asp:ListItem>Monaco</asp:ListItem>
									<asp:ListItem>Mongolia</asp:ListItem>
									<asp:ListItem>Montserrat</asp:ListItem>
									<asp:ListItem>Morocco</asp:ListItem>
									<asp:ListItem>Mozambique</asp:ListItem>
									<asp:ListItem>Myanmar</asp:ListItem>
									<asp:ListItem>Namibia</asp:ListItem>
									<asp:ListItem>Nauru</asp:ListItem>
									<asp:ListItem>Nepal</asp:ListItem>
									<asp:ListItem>Netherlands</asp:ListItem>
									<asp:ListItem>Netherlands Antilles</asp:ListItem>
									<asp:ListItem>New Caledonia</asp:ListItem>
									<asp:ListItem>New Zealand</asp:ListItem>
									<asp:ListItem>Nicaragua</asp:ListItem>
									<asp:ListItem>Niger</asp:ListItem>
									<asp:ListItem>Nigeria</asp:ListItem>
									<asp:ListItem>Niue</asp:ListItem>
									<asp:ListItem>Norfolk Island</asp:ListItem>
									<asp:ListItem>Northern Ireland</asp:ListItem>
									<asp:ListItem>Northern Mariana Islands</asp:ListItem>
									<asp:ListItem>Norway</asp:ListItem>
									<asp:ListItem>Oman</asp:ListItem>
									<asp:ListItem>Pakistan</asp:ListItem>
									<asp:ListItem>Palau</asp:ListItem>
									<asp:ListItem>Panama</asp:ListItem>
									<asp:ListItem>Papua New Guinea</asp:ListItem>
									<asp:ListItem>Paraguay</asp:ListItem>
									<asp:ListItem>Peru</asp:ListItem>
									<asp:ListItem>Philippines</asp:ListItem>
									<asp:ListItem>Pitcairn</asp:ListItem>
									<asp:ListItem>Poland</asp:ListItem>
									<asp:ListItem>Portugal</asp:ListItem>
									<asp:ListItem>Puerto Rico</asp:ListItem>
									<asp:ListItem>Qatar</asp:ListItem>
									<asp:ListItem>Reunion</asp:ListItem>
									<asp:ListItem>Romania</asp:ListItem>
									<asp:ListItem>Russia</asp:ListItem>
									<asp:ListItem>Russian Federation</asp:ListItem>
									<asp:ListItem>Rwanda</asp:ListItem>
									<asp:ListItem>Saint Kitts and Nevis</asp:ListItem>
									<asp:ListItem>Saint Lucia</asp:ListItem>
									<asp:ListItem>Saint Vincent and the Grenadines</asp:ListItem>
									<asp:ListItem>Samoa (Independent)</asp:ListItem>
									<asp:ListItem>San Marino</asp:ListItem>
									<asp:ListItem>Sao Tome and Principe</asp:ListItem>
									<asp:ListItem>Saudi Arabia</asp:ListItem>
									<asp:ListItem>Scotland</asp:ListItem>
									<asp:ListItem>Senegal</asp:ListItem>
									<asp:ListItem>Serbia and Montenegro</asp:ListItem>
									<asp:ListItem>Seychelles</asp:ListItem>
									<asp:ListItem>Sierra Leone</asp:ListItem>
									<asp:ListItem>Singapore</asp:ListItem>
									<asp:ListItem>Slovakia</asp:ListItem>
									<asp:ListItem>Slovenia</asp:ListItem>
									<asp:ListItem>Solomon Islands</asp:ListItem>
									<asp:ListItem>Somalia</asp:ListItem>
									<asp:ListItem>South Africa</asp:ListItem>
									<asp:ListItem>South Georgia and the South Sandwich Islands</asp:ListItem>
									<asp:ListItem>South Korea</asp:ListItem>
									<asp:ListItem>Spain</asp:ListItem>
									<asp:ListItem>Sri Lanka</asp:ListItem>
									<asp:ListItem>St. Helena</asp:ListItem>
									<asp:ListItem>St. Pierre and Miquelon</asp:ListItem>
									<asp:ListItem>Suriname</asp:ListItem>
									<asp:ListItem>Svalbard and Jan Mayen Islands</asp:ListItem>
									<asp:ListItem>Swaziland</asp:ListItem>
									<asp:ListItem>Sweden</asp:ListItem>
									<asp:ListItem>Switzerland</asp:ListItem>
									<asp:ListItem>Taiwan</asp:ListItem>
									<asp:ListItem>Tajikistan</asp:ListItem>
									<asp:ListItem>Tanzania</asp:ListItem>
									<asp:ListItem>Thailand</asp:ListItem>
									<asp:ListItem>Togo</asp:ListItem>
									<asp:ListItem>Tokelau</asp:ListItem>
									<asp:ListItem>Tonga</asp:ListItem>
									<asp:ListItem>Trinidad</asp:ListItem>
									<asp:ListItem>Trinidad and Tobago</asp:ListItem>
									<asp:ListItem>Tunisia</asp:ListItem>
									<asp:ListItem>Turkey</asp:ListItem>
									<asp:ListItem>Turkmenistan</asp:ListItem>
									<asp:ListItem>Turks and Caicos Islands</asp:ListItem>
									<asp:ListItem>Tuvalu</asp:ListItem>
									<asp:ListItem>Uganda</asp:ListItem>
									<asp:ListItem>Ukraine</asp:ListItem>
									<asp:ListItem>United Arab Emirates</asp:ListItem>
									<asp:ListItem>United Kingdom</asp:ListItem>
									<asp:ListItem>United States</asp:ListItem>
									<asp:ListItem>United States Minor Outlying Islands</asp:ListItem>
									<asp:ListItem>Uruguay</asp:ListItem>
									<asp:ListItem>USA</asp:ListItem>
									<asp:ListItem>Uzbekistan</asp:ListItem>
									<asp:ListItem>Vanuatu</asp:ListItem>
									<asp:ListItem>Vatican City State (Holy See)</asp:ListItem>
									<asp:ListItem>Venezuela</asp:ListItem>
									<asp:ListItem>Viet Nam</asp:ListItem>
									<asp:ListItem>Virgin Islands (British)</asp:ListItem>
									<asp:ListItem>Virgin Islands (U.S.)</asp:ListItem>
									<asp:ListItem>Wales</asp:ListItem>
									<asp:ListItem>Wallis and Futuna Islands</asp:ListItem>
									<asp:ListItem>Western Sahara</asp:ListItem>
									<asp:ListItem>Yemen</asp:ListItem>
									<asp:ListItem>Zambia</asp:ListItem>
									<asp:ListItem>Zimbabwe</asp:ListItem>
								</asp:dropdownlist>&nbsp;<asp:requiredfieldvalidator id="Requiredfieldvalidator6" runat="server" Width="136px" ControlToValidate="ddlCountry"
									ErrorMessage="Please select Country." Display="Dynamic"></asp:requiredfieldvalidator></td>
						</tr>
						<tr>
							<td class="LabelLeft"><span class="Required">*</span>Phone number</td>
						</tr>
						<tr>
							<td><asp:textbox id="txtPhoneNumber" Runat="server" Width="448px"></asp:textbox>&nbsp;<asp:requiredfieldvalidator id="Requiredfieldvalidator1" runat="server" Width="170px" ControlToValidate="txtPhoneNumber"
									ErrorMessage="Please enter Phone number." Display="Dynamic"></asp:requiredfieldvalidator></td>
						</tr>
						<tr>
							<td class="LabelLeft"><span class="Required">*</span>E-Mail Address</td>
						</tr>
						<tr>
							<td><asp:textbox id="txtEmailAddr" Runat="server" Width="448px"></asp:textbox>&nbsp;<asp:requiredfieldvalidator id="RequiredFieldValidator4" runat="server" Width="112px" ControlToValidate="txtEmailAddr"
									ErrorMessage="Please enter E-Mail." Display="Dynamic"></asp:requiredfieldvalidator><asp:customvalidator id="CustomValidator1" runat="server" ControlToValidate="txtEmailAddr" ErrorMessage="E-Mail is invalid. Please input it again."
									ClientValidationFunction="ValidateEmail">!</asp:customvalidator><asp:customvalidator id="CustomValidator3" runat="server" ControlToValidate="txtEmailAddr" ErrorMessage="Confirm E-mail does not match with E-Mail. Please input it again."
									ClientValidationFunction="ValidateEmailAndConfirmEmail">!</asp:customvalidator></td>
						</tr>
						<tr>
							<td class="LabelLeft"><span class="Required">*</span>Confirm E-Mail Address</td>
						</tr>
						<tr>
							<td><asp:textbox id="txtConfirmEmailAddr" Runat="server" Width="448px"></asp:textbox>&nbsp;<asp:requiredfieldvalidator id="RequiredFieldValidator5" runat="server" Width="160px" ControlToValidate="txtConfirmEmailAddr"
									ErrorMessage="Please enter Confirm E-Mail." Display="Dynamic"></asp:requiredfieldvalidator><asp:customvalidator id="CustomValidator2" runat="server" ControlToValidate="txtConfirmEmailAddr" ErrorMessage="Confirm E-Mail is invalid. Please input it again."
									ClientValidationFunction="ValidateEmail">!</asp:customvalidator></td>
						</tr>
						<tr>
							<td height="10"></td>
						</tr>
						<tr>
							<td align="left"><asp:button id="btnSend" runat="server" cssclass="Button L2" text="Send"></asp:button>&nbsp;<asp:button id="btnCancel" runat="server" cssclass="Button L2" text="Cancel" causesvalidation="False"></asp:button>&nbsp;<asp:button id="btnBack" runat="server" cssclass="Button L2" text="Back" causesvalidation="False"></asp:button></td>
						</tr>
					</table>
					<div class="Legend">
						<p><span class="Required">*</span> denotes a required field</p>
					</div>
				</form>
			</div>
		</div>
	</body>
</HTML>
